Marivic D. Massand MD,PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4301036945 Issued in MI

Legal business name

MARIVIC D. MASSAND MD,PLLC

Practice address

971 Canterbury Rd
Grosse Pointe Woods, MI 48236-1252

Phone

(313) 885-4489

Fax

(313) 899-7092

NPI assigned

Oct 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Prakash Pribhdas Massand

Title

Administrator

Phone

(313) 737-8000

Specialties & licenses 1

Addresses

Other names 1

• michigan healthcare physicians,PLLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1053563296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361252",
            "telephone_number": "313-885-4489",
            "fax_number": "313-899-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361252",
            "telephone_number": "313-885-4489",
            "fax_number": "313-899-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIVIC D. MASSAND MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "MASSAND",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "PRIBHDAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-737-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4301036945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "michigan healthcare physicians,PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Manardo, MS, CCC-SLP
• Toni Marie Mancini, PA-C
• Mary A Mandziara, NP
• Manor Pharmacy & Surgical Supply
• Lisa Allyn Manz Dulac, MD
• Danielle Marie Marken
• Pennie Marie Marko, CRNA
• Kayla Marlow
• Nathan E Maroney, LLPC
• Angela Martin

• Home Health Agency in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.